GERALD J. HEPNAR MD
NPI 1699875195
Hospitalist in Wenatchee, WA

Active since September 24, 2006PECOS EnrolledAccepts Medicare Assignment
1201 S MILLER ST, WENATCHEE, WA 98801(509) 663-8711 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2020, Aug 6, 2018 (2 updates tracked since 2018).

About Gerald J. Hepnar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD J. HEPNAR MD (NPI 1699875195) is an individual hospitalist provider in Wenatchee, Washington, licensed in Washington (MD60829566) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Confluence Health Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1988).

NPPES Registry Identity

NPI1699875195
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGERALD J. HEPNARCredential: MD
Location Address1201 S MILLER STWenatchee, WA 98801
Mailing Address820 N Chelan AveWenatchee, WA 98801-2028 · (509) 663-8711
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1988
Enumeration DateSeptember 24, 2006
Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
NPI 1699875195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WA · MD60829566
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60829566 (WA)
1201 S MILLER ST, Wenatchee, WA 98801

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gerald J. Hepnar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274421433
PECOS Enrollment IDI20180301000858
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
358 services171 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
230 services129 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
84 services84 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
36 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Confluence Health Hospital

Acute Care Hospitals · Wenatchee, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500016
Location1201 S Miller StreetWenatchee, WA 98807 · Chelan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$19.54 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$7.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$88.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1201 S MILLER ST
WENATCHEE, WA 98801
Internal Medicine (Interventional Cardiology)
1201 S MILLER ST
WENATCHEE, WA 98801
Hospitalist
1201 S MILLER ST
WENATCHEE, WA 98801
Dietitian, Registered
1201 S MILLER ST
WENATCHEE, WA 98801
Radiology (Vascular & Interventional Radiology)
1201 S MILLER ST, CENTRAL WASHINGTON HOSPITAL
WENATCHEE, WA 98801
Surgery (Vascular Surgery)
1201 S MILLER ST
WENATCHEE, WA 98801
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1201 S MILLER ST
WENATCHEE, WA 98801
Speech-Language Pathologist
1201 S MILLER ST
WENATCHEE, WA 98801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Hepnar's NPI number?

The NPI number for Gerald Hepnar is 1699875195. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Gerald Hepnar located?

Gerald Hepnar practices at 1201 S Miller St, Wenatchee, WA 98801. The listed phone number is (509) 663-8711.

What is Gerald Hepnar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gerald Hepnar enrolled in Medicare?

Yes. Gerald Hepnar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gerald Hepnar accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gerald Hepnar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gerald Hepnar affiliated with any hospitals?

According to CMS data, Gerald Hepnar is affiliated with Confluence Health Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Hepnar was last updated on November 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.